Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $150.59 / $676.00	Professional		$78.09	$150.59	$676.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.09 / $1,617.39 / $2,635.51	Facility		$441.09	$1,617.39	$2,635.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $156.69 / $234.05	Professional		$83.48	$156.69	$234.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $179.32 / $271.02	Professional		$121.19	$179.32	$271.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $144.29 / $256.56	Professional		$28.85	$144.29	$256.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $164.89 / $272.36	Facility		$105.67	$164.89	$272.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $202.52 / $304.39	Professional		$123.51	$202.52	$304.39
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $236.67 / $313.94	Professional		$136.85	$236.67	$313.94